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['71 <br /> p�p0178/1�55///2y097 15: 04 13107982841 PAGE 01 <br /> LI I ��(L • SAN JOAQUIN COUNTY EHD I.OG NUMBER <br /> ENVIRONMENTAL MALTH DEPARTME <br /> 5 2007 600 East Main Strcet, Stockton, CA 95202-302 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov <br /> FNVIRCNivlFNT HEALTH <br /> PERMIT SF?3VICFS PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; el- OL V1 t�s r(Jvl BUSINESSIAGENCY: ei&LyyL CQH J <br /> ADDRESS: ,'2Sd(7 C4061'IA1,�/ju <br /> PHONE(1): 7 Z�- qy� '< PHONE(;); FACSIMILE: <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Ploase allow 10 business days from date Of application submittal•'Tentatfve only-must be confirmed) <br /> 17 CHECK BOX TO EXPEDITE REQUE T•$98.00 FEE(CASH OR CHECK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �•- DATE <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> VVVV StMect�R Street Namen� I / City 6Z ((S�raL) ❑ unit <br /> ,r(� 1• d`2. I SDJ�(.t ✓r•ucvZt Wtel2lrl $t'V'ff�'- �-tl aZ \ <br /> V\ 2, <br /> 3. L1unit2 <br /> 4. J� <br /> Unit 3 <br /> S. <br /> 6• Unit4 y <br /> 7. v <br /> $• ❑ Unit 5 <br /> 9. <br /> 10. )) unit 5 <br /> Specific Date Range of Information Requested: From ( to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT <br /> OTHER CLEANUP SITE(NON-LOPOOD) /"ZSOLM WASTE FACILI YNEHICLE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) la DOG FACILITY <br /> ENNEL WASTE TIRE <br /> HAZARDOUS WASTE GENERATOR 0 DAIRY <br /> TIERED PERMITTED FACILITY CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> Q TATTOOlBODY PIERCING MOTEL/HOTEL D PUMPER TRUCK/YARDICHEM TOILETS <br /> ❑ MEDICAL WASTE FACILITY POOL/SPA 17 LAND USE APPLICATION SITES <br /> OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY•FRIDAY 8:00 AM•$;UOPM - EXCLUDING HOLIDAYS. <br /> 1. List Up to ten addresses in the space above. Select the type(s) of files from the list above b checking <br /> box(es). At least one file type MUST be selected, ax to 0 464.013 yate the appropriate <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHDgs n Gated a ova. Address <br /> 3:00 pm will be processed the next business day, Applications received after <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> ENDAa-0e WEB NBMQQD� ]' <br />